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Diet in chronic kidney disease in a Mediterranean African country
BACKGROUND: Mediterranean diet is characterized by low to moderate consumption of animal protein and high consumption of fruits, vegetables, bread, beans, nuts, seeds and other cereals. It has been associated with reduced risk of cardiovascular disease. However, it is not suitable for chronic kidney...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5259917/ https://www.ncbi.nlm.nih.gov/pubmed/28114891 http://dx.doi.org/10.1186/s12882-017-0448-2 |
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author | Kammoun, Khawla Chaker, Hanen Mahfoudh, Hichem Makhlouf, Nouha Jarraya, Faical Hachicha, Jamil |
author_facet | Kammoun, Khawla Chaker, Hanen Mahfoudh, Hichem Makhlouf, Nouha Jarraya, Faical Hachicha, Jamil |
author_sort | Kammoun, Khawla |
collection | PubMed |
description | BACKGROUND: Mediterranean diet is characterized by low to moderate consumption of animal protein and high consumption of fruits, vegetables, bread, beans, nuts, seeds and other cereals. It has been associated with reduced risk of cardiovascular disease. However, it is not suitable for chronic kidney disease because of high potassium intake. DISCUSSION: Tunisia is an emerging Mediterranean country with limited resources, a high prevalence of chronic hemodialysis treatment and high dialysis expenditures. In order to limit dialysis cost, primary and secondary prevention of chronic renal disease are of paramount importance. In addition to drugs, secondary prevention includes diet measures (e.g. salt diet, protein diet). The aims of diet practice in chronic kidney disease are to slow chronic renal failure progression and to prevent its complications like hyperphosphatemia and hyperkaliemiae. A few decades ago, a Tunisian diet was exclusively Mediterranean, and protein consumption was not excessive. However, today, protein consumption is more comparable to western countries. Salt consumption is also excessive. Some Tunisian diets still include food with high potassium intake, which are not suitable for patients with chronic kidney disease. Therefore, the role of the dietician is extremely important to help calculate and create a dietary regimen tailored to each of our patients. SUMMARY: Advice about diets should be adapted to both the patient and population habits to improve adherence rate. As such, the purpose of this article is to provide our own experience regarding medical nutrition therapy in patients with chronic kidney disease in Tunisia, with some changes in food habits. Prevention is far better than treatment. In this perspective, dietary measures must be at the core of our intervention. |
format | Online Article Text |
id | pubmed-5259917 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-52599172017-01-26 Diet in chronic kidney disease in a Mediterranean African country Kammoun, Khawla Chaker, Hanen Mahfoudh, Hichem Makhlouf, Nouha Jarraya, Faical Hachicha, Jamil BMC Nephrol Debate BACKGROUND: Mediterranean diet is characterized by low to moderate consumption of animal protein and high consumption of fruits, vegetables, bread, beans, nuts, seeds and other cereals. It has been associated with reduced risk of cardiovascular disease. However, it is not suitable for chronic kidney disease because of high potassium intake. DISCUSSION: Tunisia is an emerging Mediterranean country with limited resources, a high prevalence of chronic hemodialysis treatment and high dialysis expenditures. In order to limit dialysis cost, primary and secondary prevention of chronic renal disease are of paramount importance. In addition to drugs, secondary prevention includes diet measures (e.g. salt diet, protein diet). The aims of diet practice in chronic kidney disease are to slow chronic renal failure progression and to prevent its complications like hyperphosphatemia and hyperkaliemiae. A few decades ago, a Tunisian diet was exclusively Mediterranean, and protein consumption was not excessive. However, today, protein consumption is more comparable to western countries. Salt consumption is also excessive. Some Tunisian diets still include food with high potassium intake, which are not suitable for patients with chronic kidney disease. Therefore, the role of the dietician is extremely important to help calculate and create a dietary regimen tailored to each of our patients. SUMMARY: Advice about diets should be adapted to both the patient and population habits to improve adherence rate. As such, the purpose of this article is to provide our own experience regarding medical nutrition therapy in patients with chronic kidney disease in Tunisia, with some changes in food habits. Prevention is far better than treatment. In this perspective, dietary measures must be at the core of our intervention. BioMed Central 2017-01-23 /pmc/articles/PMC5259917/ /pubmed/28114891 http://dx.doi.org/10.1186/s12882-017-0448-2 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Debate Kammoun, Khawla Chaker, Hanen Mahfoudh, Hichem Makhlouf, Nouha Jarraya, Faical Hachicha, Jamil Diet in chronic kidney disease in a Mediterranean African country |
title | Diet in chronic kidney disease in a Mediterranean African country |
title_full | Diet in chronic kidney disease in a Mediterranean African country |
title_fullStr | Diet in chronic kidney disease in a Mediterranean African country |
title_full_unstemmed | Diet in chronic kidney disease in a Mediterranean African country |
title_short | Diet in chronic kidney disease in a Mediterranean African country |
title_sort | diet in chronic kidney disease in a mediterranean african country |
topic | Debate |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5259917/ https://www.ncbi.nlm.nih.gov/pubmed/28114891 http://dx.doi.org/10.1186/s12882-017-0448-2 |
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